A Taiwan medical research team reported that the survival rate of patients who receive emergency treatment using the extracorporeal membrane oxygenation (ECMO) life-support system is twice as high as among those who are given conventional cardiopulmonary resuscitation (CPR) alone.
The study, conducted by a group of physicians at National Taiwan University Hospital (NTUH) on patients aged 18 years old to 75 years old between 2004 and 2006, assessed the effects of ECMO after in-hospital cardiac arrest.
FAMOUS PHYSICIANS
The university presented the results of the research on Wednesday. Physicians who worked on the project include Chen Yih-sharng (陳益祥), Ko Wen-je (柯文哲) and Lu Hsi-yu (虞希禹) from the cardiac surgery department and Lin Jou-wei (林昭維) from the cardiology department of NTUH’s Yunlin branch.
BIG NAME
The study, entitled Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis, was published in the July 7 edition of The Lancet, the world’s leading independent general medical journal, an NTUH spokesman said.
He said that the hospital had used the ECMO procedure on 132 patients and — as there have been only 267 recorded cases of EMCO use around the world over the past three years — the study has drawn international attention in medical circles.
The process involves the insertion of a catheter into the femoral artery/vein and circulating blood through a pump, heat exchange, and oxygenator before returning it to the body.
In the study, 113 of 975 patients who suffered in-hospital cardiac arrest and were given CPR for more than 10 minutes were enrolled in the conventional CPR group, while 59 were enrolled in the extracorporeal group.
BETTER RATES
The researchers found that among the patients who had received extracorporeal CPR the survival and discharge rate was 24 percent, while among those who received conventional CPR it was 11 percent.
Some 82 percent of cardiac arrest patients who were treated with the ECMO procedure recovered and returned to work within one year, the study showed.
Yang Pan-chi (楊泮池), the dean of NTU’s College of Medicine, said the study had altered the traditional medical definition that a patient may be pronounced dead if 30 minutes of CPR proves unsuccessful.
ADEQUATE OXYGEN
The study proves that is possible to save the life of patients with heart failure as long as their brains and other major organs are receiving an adequate supply of oxygen, Yang said.
This may serve to encourage others in the medical field to conduct research aimed at developing a simpler and cheaper way to supply oxygen to the brain and other organs in the treatment of trauma, he said.
An increase in Taiwanese boats using China-made automatic identification systems (AIS) could confuse coast guards patrolling waters off Taiwan’s southwest coast and become a loophole in the national security system, sources familiar with the matter said yesterday. Taiwan ADIZ, a Facebook page created by enthusiasts who monitor Chinese military activities in airspace and waters off Taiwan’s southwest coast, on Saturday identified what seemed to be a Chinese cargo container ship near Penghu County. The Coast Guard Administration went to the location after receiving the tip and found that it was a Taiwanese yacht, which had a Chinese AIS installed. Similar instances had also
GOOD DIPLOMACY: The KMT has maintained close contact with representative offices in Taiwan and had extended an invitation to Russia as well, the KMT said The Chinese Nationalist Party (KMT) would “appropriately handle” the fallout from an invitation it had extended to Russia’s representative to Taipei to attend its international banquet last month, KMT Chairman Eric Chu (朱立倫) said yesterday. US and EU representatives in Taiwan boycotted the event, and only later agreed to attend after the KMT rescinded its invitation to the Russian representative. The KMT has maintained long-term close contact with all representative offices and embassies in Taiwan, and had extended the invitation as a practice of good diplomacy, Chu said. “Some EU countries have expressed their opinions of Russia, and the KMT respects that,” he
VIGILANCE: The military is paying close attention to actions that might damage peace and stability in the region, the deputy minister of national defense said The People’s Republic of China (PRC) might consider initiating a hack on Taiwanese networks on May 20, the day of the inauguration ceremony of president-elect William Lai (賴清德), sources familiar with cross-strait issues said. While US Secretary of State Anthony Blinken’s statement of the US expectation “that all sides will conduct themselves with restraint and prudence in the period ahead” would prevent military actions by China, Beijing could still try to sabotage Taiwan’s inauguration ceremony, the source said. China might gain access to the video screens outside of the Presidential Office Building and display embarrassing messages from Beijing, such as congratulating Lai
Four China Coast Guard ships briefly sailed through prohibited waters near Kinmen County, Taipei said, urging Beijing to stop actions that endanger navigation safety. The Chinese ships entered waters south of Kinmen, 5km from the Chinese city of Xiamen, at about 3:30pm on Monday, the Coast Guard Administration said in a statement later the same day. The ships “sailed out of our prohibited and restricted waters” about an hour later, the agency said, urging Beijing to immediately stop “behavior that endangers navigation safety.” Ministry of National Defense spokesman Sun Li-fang (孫立方) yesterday told reporters that Taiwan would boost support to the Coast Guard